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Organization
ST. LUKE'S WARREN PHYSICIAN GROUP, PC
Active
Organization
ST. LUKE'S WARREN PHYSICIAN GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE THOMAS DO (VP OF MEDICAL AFFAIRS)
(484) 526-4838
Entity
Organization
Contact information
Practice address
123B ROSEBERRY ST, PHILLIPSBURG, NJ 08865-1629
(484) 503-0235
(833) 829-8917
Mailing address
185 ROSEBERRY ST, FARLEY BLDG., 2ND FLOOR, PHILLIPSBURG, NJ 08865
(908) 847-2621
(908) 847-3045
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
—
NULL
2080P0214X
Pediatric Pulmonology Physician
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
10/31/2019
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